ABIGAIL FAMILY PRACTICE, LLC (NPI# 1669098836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669098836 |
| Entity Type | Organization |
| Organization Name | ABIGAIL FAMILY PRACTICE, LLC |
| Practice Address |
412 Suburban Dr Newark DE 19711-3564 |
| Mailing Address |
Po Box 147 Newark DE 19715-0147 |
| Practice Telephone | 3027383770 |
| Practice Fax Number | 3027384749 |
| Mailing Telephone | 3027383770 |
| Mailing Fax Number | 3027384749 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | LUKE HORAH (OFFICE MANAGER) |
| Authorized Official Telephone | 4435536114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
412 SUBURBAN DR |
| City | NEWARK |
| State | DE |
| Zip Code | 19711-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922134899 | Abigail Medical Family Medicine, L.L.C. | Family Medicine | 412 Suburban Dr, Newark, DE 19711-3564 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640575 | Donald Tan-fog Lee | Family Medicine | 5886 Mowry School Rd, Newark, CA 94560-5367 | 2006-08-23 |
| 1598242174 | Althea M Titus-grant | Family Medicine | 4051 Ogletown Rd Ste 200, Newark, DE 19713-3101 | 2018-07-25 |
| 1306230255 | Alexander Campolo | Family Medicine | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2015-03-27 |
| 1982646295 | Teresa O Madrid | Family Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104171206 | Healthy Aging Clinic | Family Medicine | 1014 North Walnut Street, Milford, DE 19963-1244 | 2012-07-16 |
| 1003970781 | Charlene Browne | Family Medicine | 31/32 A Trolley Square, Wilmington, DE 19806 | 2006-12-20 |
| 1497753255 | Roberto M Villasenor | Family Medicine | 916 Middleford Rd, Seaford, DE 19973-3604 | 2005-07-14 |
| 1174528772 | Prentiss Wayne Adkins Sr. | Family Medicine | 29475 Vines Creek Rd, Dagsboro, DE 19939-3839 | 2005-06-20 |
| 1457507758 | Raphaele Todaro, M.d. | Family Medicine | 316 Lantana Dr, Hockessin, DE 19707-8807 | 2008-08-18 |
| 1730133992 | Beebe Physician Network Inc. | Family Medicine | 1515 Savannah Rd, Lewes, DE 19958-1675 | 2006-05-20 |
| 1841255247 | Sma Medicine, LLC | Family Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.